Nicole Marie Speck, FNP in Ann Arbor, MI - Medicare Nurse Practitioner

Nicole Marie Speck, FNP is a medicare enrolled "Nurse Practitioner" in Ann Arbor, Michigan. Her current practice location is 2800 Stone School Road, Room 112, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 973-9367.

Nicole Marie Speck is licensed to practice in Michigan (license number 4704207836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619978145.

Contact Information

	Nicole Marie Speck, FNP
	2800 Stone School Road, Room 112, Ann Arbor, MI 48104
	(734) 973-9367
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Marie Speck
Gender	Female
Speciality	Nurse Practitioner
Location	2800 Stone School Road, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619978145
Provider Enumeration Date: 08/09/2005
Last Update Date: 01/04/2016

Medicare PECOS Information:

PECOS PAC ID: 6800877812
Enrollment ID: I20040526000653

Medical Identifiers

Medical identifiers for Nicole Marie Speck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619978145	NPI	-	NPPES
50-0-H2-0189-0	Other	MI	BCBS MI NP GROUP
77 4631518	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704207836 (Michigan)	Primary
363LF0000X	Nurse Practitioner - Family	4704207836 (Michigan)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Speck allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447275102 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Speck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Marie Speck, FNP 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047	Nicole Marie Speck, FNP 2800 Stone School Road, Room 112, Ann Arbor, MI 48104 Ph: (734) 973-9367

Reviews and Comments

Nurse Practitioner Nurses in Ann Arbor, MI

Mrs. Paige Christine Ledlow, MS, RN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3214 Alpine Dr, Ann Arbor, MI 48108 Phone: 614-562-0824
Nina K Bibicoff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4260 Plymouth Rd, Ann Arbor, MI 48109 Phone: 734-764-6831 Fax: 734-647-8535
Wilma Anne Mackenzie, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Donald Lawson Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hospital Recp C, Ann Arbor, MI 48109 Phone: 734-936-5780
Ms. Alexis Mae Punches, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 12th Floor C.s. Mott Childrens Hospital Rm 525, Ann Arbor, MI 48109 Phone: 734-764-5302
Shannon Marie Canterbury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Amber Nicole Mason, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109 Phone: 888-287-1082

Nicole Marie Speck, FNP - Medicare Nurse Practitioner in Ann Arbor, MI